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HomeMy WebLinkAbout2017-117 Contract - Northwest Code Professionals contract for Personal Services less than $35,CIDD.44 CONSULTANT: Northwest Code Professionals CITY o~ I i ~ CONTACT: Jack Applegate 20 East Main Street Ashland, Oregon 97520 ADDRESS: 144 East 14~" Ave, Eugene, OR 97401 ~ Telephone: 5411488-6002 Fax: 5411488-5311 TELEPHONE: 541-484-9046 i DATE AGREEMENT PREPARED: 3f28/2017 ;EMAIL: JackA@nwcodepros.com BEGINNING DATE: 4{312017 ;COMPLETION DATE: 41312018 COMPENSATION: Per fee schedule attached as Exhibit C. I I SERV{GES TO BE PROVIDED: Per scope of services attached as Exhibit G. ADDITIONAL TERMS: In the event of conflicts or discrepancies among the contract documents. the Gity of Ashland Gantract far Personal SerJices will be primary and take precedence, and any exhibits or ancillary contracts or agreements having redundant ar contrary provisions will be subordinate to and interpreted in a manner that will not conflict with the said prima Cit of Ashland Contract. FINDINGS: Pursuant to AMC 2.50.120, after reasonable inquiry and evaluation, the undersigned Department Head finds and determines that: (1 }the services to be acquired are personal services; (2) the City does not have adequate personnel nor , resources to perform the services; (3) the statement of work represents the department's plan for utilization of such personal services; (4) the undersigned consultant has specialized experience, education; training and capability sufficient to perform the quality, quantity and type of work requested in the scope of work within the time and financial constraints ~I provided; (5) the consultant's proposal will best serve the needs of the City; and (6) the compensation negotiated herein is fair and reasonable. NOW THEREFORE, in consideration of the mutual covenants contained herein the CITY AND CONSULTANT AGREE as follows: 1. Findings ~ Recitations. The findings and recitations set Earth above are true and correct and are incorporated herein by this reference. 2. All Casts by Consultant: Consultant shall, at its own risk and expense, perr'arm the personal services described above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance of such service. 3. Qualified Work: Consultant has represented, and by entering into this contract now represents, that all personnel assigned to the work required under this contract are fully qualified to perform the service to which they will be i assigned in a skilled and worker-like manner and, if required to be registered. licensed or banded by the State of ~ Oregon, are so registered, licensed and bonded. 4. Completion Date: Consultant shall start performing the service under this contract by the beginning date indicated above and complete the service by the completion date indicated above. 5. Compensation: City shall pay Consultant for service performed, including costs and expenses, the sum specified above. Payments shall be made within 30 days of the date of the invoice. Should the contract be prematurely terminated: payments will be made for work completed and accepted to date of termination. 6. Ownership of Documents: All documents prepared by Consultant pursuant to this contract shall be the property of 1 City. 7. Statutory Requirements: ORS 279C.505, 279C.515, 279C.520 and 2790.530 are made part of this contract. 8, Living Wage Requirements; If the amount of this contract is X20,2$3.20 or more; Consultant is required to comply with chapter 3.12 of the Ashland Municipal Code by paying a living wage; as defined in this chapter; to all employees performing work under this contract and to any Subcontractor who performs 50% or more of the service work under this contract. Consultant is aiso required to post the notice attached hereto as Exhibit B predominantly in areas where it wilt be seen by ali employees. 9. Indemnification: Consultant agrees to defend, indemnify and save City; its officers; employees and agents harmless from any and all losses; claims, actions, casts, expenses, judgments: subrogations, or other damages resulting from injury to any person (including injury resulting in death), or damage (including lass or destruction) to property, of { whatsoever nature arising out of or incident to the perrormance of this contract by Consultant (including but not limited ta, Consultant's employees; agents, and others designated by Consultant to perform work ar services attendant to this contract). Consultant shall not be held responsible for any losses, expenses, claims, subrogatians, actions, costs, judgments, or other damage, directly; solely, and proximately caused by the negligence of City. 10. Termination: Contract for Personal Services less than ~35,f)gp.00, Page 1 of 5 a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties. I b. City`s Convenience. This contract maybe terminated at any time by City upon 30 days' notice in writing and delivered by certified mail or in person. c. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery of written notice to Consultant, or at such later date as maybe established by City under any of the fallowing conditions: i. If City funding from federal, state, county or other sources is not obtained and continued at levels sufficient to allow for the purchase of the indicated quantity of services; I ii. if federal or state regulations or guidelines are modified; changed, or interpreted in such a way j that the services are no longer allowable or appropriate for purchase under this contractor are j ~ no longer eligible far the funding proposed far payments authorized by this contract; or j iii. If any license or certificate required by law or regulation to be held by Consultant to provide the j services required by this contract is for any reason denied; revoked, suspended, ar not renewed, d. Far Default or Breach, I i. Either City or Consultant may terminate this contract in the event of a breach of the contract by the other. Prior to such termination the party seeking termination shall give to the other party written notice of the breach and intent to terminate.. If the party committing the breach has not entirely cured the breach within 15 days of the date of the notice; ar within such other period as the party giving the notice may authorize ar require, then the contract may be terminated at any time thereafter by a written native of termination by the party giving notice. ii. Time is of the essence far Consultant's performance of each and every obligation and duty under this contract. City by written notice to Cansuitant of default or breach may at any time terminate the whale ar any part of this contract if Consultant fails to provide services called far by this contract within the time specified herein ar in any extension thereof. iii, The rights and remedies of City provided in this subsection (d}are not exclusive and are in ~i ~ addition to any other rights and remedies provided by law or under this contract. ~ e. ObligationfL~ability of Parties. Termination or modification of this contract pursuant to subsections a, b, or c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such i termination or modification. However, upon receiving a notice of termination (regardless whether such notice is given pursuant to subsections a, b, c or d of this section, Consultant shall immediately cease all activities under this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Consultant shall deliver to City all contract documents, infarmatian: works-in-progress and other property that are or would be deliverables had the contract been completed. City shall pay Consultant for work performed prior to i the termination date if such work was performed in accordance with the Contract. 11. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City. Consultant shall have the complete responsibility far the performance of this contract. Consultant shall provide workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to this contract. Consultant is a subject employer that will comply with ORS 656,017. 12. Assignment and Subcontracts: Consultant shall not assign this contract or subcontract any portion of the work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be ~ void. Consultant shall be fully responsible for the acts or omissions of any assigns ar Subcontractors and of all persons employed by them, and the approval by City of any assignment ar subcontract shall not create any contractual relation between the assignee or subcontractor and City. 13. Default. The Consultant shall be in default of this agreement if Consultant: commits any material breach or default of any covenant, warranty, certification, or ob{igation it owes under the Contract; its QRF status pursuant to the QRF Rules or loses any license, certificate ar certification that is required to perform the Services or to qualify as a QRF if consultant has qualified as a QRF for this agreement; institutes an action far relief in bankruptcy or has instituted against it an action far insolvency; makes a general assignment far the benefit of creditors; or ceases doing business on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in, or delegate duties under, the Contract. 14. Insurance. Consultant shall at its awn expense provide the following insurance: a, Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers b. Professional Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: X250,000, X500,000; X1,000,000, $2,000,000 or Not Applicable for each claim, incident or occurrence, This is to cover damages caused by error, omission or negligent acts related to the professional services to be provided under this contract, c. General Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: X200;000; X500;000, $1;000,000; X2,000,000 ar Not Applicable for each occurrence for Bodily Injury and Property Damage. d. Automobile Liability insurance with a combined single limit; ar the equivalent, of not less than Enter one: $100,000, $500;000, X1,000,000, or Nat Applicable for each accident for Bodily Injury and Property Damage, including coverage for owned, hired orison-owned vehicles, as applicable. Contract for Personal Services less than 535,000.00, Page 2 of 5 ~e. Notice of cancellation or change. There shall be no cancellation, material change; reduction of limits or intent not to renew the insurance coverage{s~ without 34 days' written notice from the Consultant or its insurer{s} to ~ the City. f. Additional insured/Certificates of Insurance. Consultant shall name The City of Ashland, Oregon, and its elected officials, officers and employees as Additional Insureds on any insurance policies, excluding Professional Liability and Workers' Compensation, required herein, but only with respect to Consultant's services to be provided under this Contract. The consultant's insurance is primary and non-contributory. As evidence of the insurance coverages required by this Contract. the Consultant shall furnish acceptable insurance certificates prior to commencing work under This contract. The certificate will specify all of the parties who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If requested, complete copies of insurance policies; trust agreements; etc. shall be provided to tl7e City. The Consultant shall be financially responsible for all pertinent deductibles, self-insured retentions andlorself-insurance. 15. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws of the State of Oregon without resort to any jurisdiction's conflict of laws, rules ar doctrines. Any claim, action, suit or proceeding {collectively; "the claim"j between the City (and/or any other or department of the State of Oregon) and the Consultant that arises from or rely#es to this contract shall be brought and conducted solely and exclusively within the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal forum, then it shall be brought and conducted safely and exclusively within the United States District Court for the District of Oregon filed in Jackson County, Oregon. Consultant, by the signature herein of its authorized representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United States Constitution, or otherwise, from any claim or from the jurisdiction. 16. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE PARTIES, NO WAIVER. CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER, CONSENT, MODIFICATION OR CHANGE. IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR ~ THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT. CONSULTANT. BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT j HE(SHE HAS READ THIS CONTRACT; UNDERSTANDS lT; AND AGREES TO BE BOUND BY ITS TERMS AND CONDITIONS. ~ 17. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Consultant understands and agrees that City s payment of amounts under this contract attributable to work performed after the last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow ~ City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In j the event City has insufficient appropriations; limitations ar other expenditure authority; City may terminate this ~i contract without penalty or liability to City, effective upon the delivery of written notice to Consultant; with no further ~I, liability to Consultant. Certification. Consultant shall sign the c tification attached he eto s Exh~ ' and herein incorporated by reference. IConsultan City of A land By y - Signature`°~~~ Department Head T---- ~ y ~y Print Name Print Name ~ ~ ~P~ ~ r ~ j Title Date E W-9 One copy of a W-9 is to be submitted with ~ ~ the signed contract. Purchase Order No. Contract for Personal Services less than ~35,D00.00, Page 3 of 5 EXHIBIT A CERTIFICATIQNSIREPRESENTATIQNS: Contractor, under penalty of perjury, certifies that (a) the number shown on the attached w_g form is its correct taxpayer ID for is waiting for the number to be issued to it and (b) Contractor is not subject to backup withholding because (i) it is exempt from backup withholding or (ii) it has not been notified by the Internal Revenue Service {IRS} that it is subject to backup withholding as a result of a failure to report all interest or dividends, or {iii) the IRS has notified it that it is no longer subject to backup withholding, Contractor further represents and warrants to Gity that {a} it has the power and authority to enter into and perform the work, (b} the Contract, when executed and delivered, shall be a valid and binding obligation of Contractor enforceable in accordance with its terms, {c) the work under the Contract shall be performed in accordance with the highest professional standards, and (d} Contractor is qualified, professionally competent and duly licensed to perform the work. Contractor also certifies under penalty of perjury that its business is not in violation of any Oregon tax laws, and it is a corporation authorized to act on behalf of the entity designated above and authorized to do business in Oregon or is an independent Contractor as defined in the contract documents, and has checked four or more of the following criteria; rout the labor or services at a location se crate from m residence or is in a (1}Icary p y specific portion of my residence, set aside as the location of the business. Commercial advertising or business cards or a trade association membership are purchased for the business. (3) Telephone listing is used forthe business separate from the personal residence listing. (4) Labor or services are performed only pursuant to written contracts. (5) Labor or services are performed for two or more different persons within a period of one year. I assume financial responsibility for defective workmanship or for service not provided as evidenced by the ownership of performance bonds, warranties, errors and omission insurance or liability insurance relating to the labor or services to be provided. ~ " . Co;,wtrac r {Date) Contract for Personal Services less thin $35,000.00; Page 4 of 5 / ► ► 1 1 ~ EXHIBIT B ~ o s an , . , , , per hour effective June 30, 2016 (Increases annually every June 30 by the Consumer Price Index) ~r - ~ - ~ , ~ portion of business of their 401 K and IRS eligible employer, if the employer has cafeteria plans including ten ormore employees, and childcare) benefits to the has received financial amount of wages received by assistance forthe project or the employee. ➢ Forall hours worked undera business from the Cityof service contract between their Ashland in excess of ➢ Note: "Employee" does not employer and the City of $20,283.20, include temporary orpart-time Ashland if the contract employees hired for less than exceeds $20,283.20 or more. ➢ If their employer is the City of 1040 hours in any twelve- Ashlandincluding the Parks month period. For more ➢ For all hours worked in a and Recreation Department. details on applicability of this month if the employee spends policy, please see Ashland 50% or more of the ➢ In calculating the living wage, Municipal Code Section employee's time in that month employers may add the value 3,12,020, working on a projector of health care, retirement, Call the Ashland City Administrator's office at 541-488-6002 or write to the City Administrator, City Hall, 20 East Main Street, Ashland, OR 97520 or visit the city's website at www.ashland,or,us. Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all employees. CITY OF ~S H LA N D Contract for Personal Services less than $35,000.00, Page 5 of 5 Exhibit C CONTRACTOR (NWCP) Fees for Services City of Ashland March 28, 2017 Plan Review Services: CITY shall pay Contractor 75% of the plan review fee and fire and life safety review fees for Plan Review services. Contractor will include up tonne re-review of plans not approved on the initial review any additional reviews or revised plan revisions will be charge at the hourly rate of $90.00 per hour which can be charged to the permit applicant. All costs for shipping of plans will be billed to the City at actual shipping costs only. Digital Plan Review services are preferred and can save costs forthe applicant and CITY. Additional Stand Alone Specialty Inspection and Review Fees available upon request only: • Plumbing, Medical Gas, Electrical review: $90.00/ hr. • Structural by a contract PE $115.00/ hr. • Fire Protection by a contract PE $135.00/ hr. • Fire and Life Safety Review Only $90.00/hr. Inspection Services: City shall pay Contractor $90.00 per hour for Oregon Specialty Code Inspection services, Code Enforcement services and site visits on call as needed by City. Atwo-hour minimum fee shall be paid to contractor for each day inspection services are requested. CITY shall pay Contractor an all-inclusive daily travel fee of $100.00 to cover both travel time, mileage and vehicle expenses for each inspector on each inspection day requested by CITY. Mileage for inspections within the CITY will not be charged to the CITY. Building Official Services City shall pay CONTRACTOR a flat monthly fee of $450.00 to cover the administration and oversiteofthe buildingPermit program forall services required of the Building Officialto meet the minimum program requirements of the Oregon Building Codes Division, State Statutes and Administrative rules. CONTRACTOR will provide on-site in office, Building Official services a minimum of 2 hours per week on Wednesdays from 10:00-12:00 or other times as mutually agreed upon by CONTRACTOR and CITY. These services will also include telephone, email and electronic services of the Building Official provided by CONTRACTOR 5 days per week off site. 1 Attachment"A" FEE SCHEDULE FOR SERVICES Exhibit C Furthermore, CONTRACTOR will provide emergency 24 hour services of Building Official services on call as needed by CITY for emergency response. CONTRACTORS Building Official will act as the authority having jurisdiction incompliance with ORS 455 and provide the duties normally required of the Building Official. Building Official Services requested beyond the 2- hoursper week would be billed at the hourly rate of $90.00 per hour. Ancillary Customer Care Services: We take great pride in offering outstanding customer service to our partners in government and the customers we serve. All team members email addresses and cell phone numbers are given out for immediate response to customer concerns. The Managers cell phone number is also given out to handle any immediate concerns or to mediate any potential concerns of the City or the customer served. This is included at no additional charge to CITY. Billing: Our current billing is sent out by the 5t" of the following month with payment due by the 20t" of each month. Jack Applegate, CBO, CHI Manager Northwest Code Professionals Date: 3/28/17 Approved For Content: NWCP 2 Attachment "A" FEE SCHEDULE FOR SERVICES ~RT'I~'IC~4T"E L.IABII.~TY ~f~SUF►ANC~ ~a2~ 3~2~~20~7 THIS CERTIFICATEiS ISSUED AS A MATTER OP INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE pOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER{S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT; If the certificate holder is an ADDITIONAL INSURED, the palicy(ies~ must have ADDITIONAL INSURED provisions ar be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement an this certificate does not confer ri hts to the certificate balder in lieu of such endorsements . PRObUCCR CONTACT NAh1E; ~'~C;~~,~C ~~NEF~rT' CON~C.1~ `l'~1NTS/Ph5 PHONE ~Ax iA~c,No.Ex{~, (86~) X67-87~C (A.~c.NoJ: ~~88} 4~~~-~11.~ 7097.0 P: (866) 467-870 F: {~88} 4~3-~~~~.~ ~oa~~ss I70 ~3~X 3 3 O i ~ INSURER{S)AFFURDING c~v~rzAGE NA{c~ I~NTOI~~O "~'X `18265 INSURERA ~~~~t,t~~rlpi Ibis C:a ~TL~ INSUftEp INSURER B : INSURER G `~`k~E ~UTiI~Ca~7IvG I}~',PAR~'M~~~~' .>~LC INSURERa~ ~ `2 ~ E ~ 4 ta.} 11~t ~E INSURER E ~ i~~~ INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REC}UIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE #NSURANOE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONSAHD CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LtiSll 7YlyE~JF'1.'45G'R.~:'~"CG A13DL ~'G'BR pl3LtCY,t"1!:t/HF'it POI,1C"l"I~FF 1'OLICY1.aP 1,1,tf11:S COMMERCIAL o~N~~(A"~L L[PASILP~rY EACH occuRRENCE , 2 , 0 0 , C) 0 0 ClAIM5~MADE I ^ I OCCUR DAhAAGE TO RENTECJ ~ ~ a ~J PREMISES (Ea occurrence) ` r ~ 1{ Ce~eral .,:tab `i2 .:Erb ~'~;-'14i ~~'l~ r~'~1~^ C~l~ MEDEXP{Anyoneperson) PERSONAL 8 ADV INJURY' ~ ~ ~ 0 ~ C GEN'L AGGREGATE l.1MIT (AP~P'L~IES PER: GENERAL AGGREGATE ~ Q f ~ 1 Q POLICY ~ 0 I X ~ LOC PROQUGTS - GOMPiOP AGG ~ r ~ ~J ~ ~ OTHER: ~i AUTOM081LE LlA81LI7Y COM6INED SINGLE LIMIT (Ea sccitlert) ANY AUTO 6001LY INJURY (Per person) OWNED SCHEDULED BODiI„Y INJURY {Per accident} AUTOS ONLY AUTOS MIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per acciden?j UMBRELLA LIAR X OCCUR EAGN OCCURRENCE / ~ Q ~ Q Q EXCESSLIAB CLAIPv1S•PvIADE ;;~.'A 71Y' C`;1 { i v1 c .r~5/,, ?i'2C1' AGGREGATE ~ r r~~o ~ RETENTION s O, O C O t6'UHKERSCOti1PE,"r;SAT10'4 PER OTH• ~t'UF,'.tlPtti}~~S°li.dNli.1T{` STA71J7E [R ANY PROPRIETOR:%PAR7NERlEXECUT(VE YIN E.L. F"ACH AGGI4ENT OFFICERfMEMUEREXGI.UDED? P""~1 N!A (Mandatory In NHJ I I E.L. DISEASE- EA EP~IPLOYEE • !f yes, describe under L~J E L DISEASE • P01.lCY lIM1T DESCRIPTION OF OPERATIONS bela4v bESCRtPTlON 4P4PERATfONSlLDCA710MS/VEHICLES IACOf2b 1Q1, Additions{ Remarks Schedule, may be attached If mor©space is requMred) `~'hos~ usual ~.o the Tr~~ur~~'s C~~e~at:~.c~~~s. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE ~l- ~'Y a~' E~sI~i~A~VD DELIVERED !N ACCORDANCE WITH THE POLICY PROVISIONS. r(~'~1.MUN~:'I'Y 1J.~V~~~aOPM~i~~, I~E~~KTMEN~, atrrHa~Ix~ar3~p~~s~NrArrvE 5 ~L ~~1'.-N~~~ZN WAS 1~~~~.,ANi~, 0~ 97520 ~ 1S8$-2415 ACORD CORPORATION. All rights reserved, ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 1 ~ DATE (MMIDDIYYYY) AC(a'R1'~ CERTIFICATE LIABILITY INSURANCE 3,23,2017 TWIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poiicy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEaCT Tammy Ann Syrek PHONE (512) 4g4-6624 F'~ (541)686-2726 Pacific Benefit Consultants ~A~c~No~lrxtl~_...._.__._____...__..__._._._____.__.~. __.__.!_LArc, No~_...___..__ 450 Country Club Road #330 ~-MAIL ADDRE55; INSURER{S) AFFORDING COVERAGE ( NAIC ~ Eugene OR 97401 _INSURER A :SATE Corp _ f. _ _ _ INSURED _ INSURER B :Lloyds_. °~___London mhe Building Department LI,C, INSURERC~____. 144 E , 24th Ave _INSURER D . INSURER E : _ _ . Eugene OR 97402 INSURER F ; COVERAGES CERTIFICATE NUMgER,CL1732320689 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSft -TADDL SUER POLICY EFI= POLICY EXP ~ LIMITS LTR TYPE OF INSURANCE i POLICY NUMBER MMIDD/YYYY MMIDDIYYYY COMMERCIAL GENERAL LIABILITY ~ ! ( ~ EACH OCCURRENCE $ i ~ i DAMAGE TO RENTED _ _ r___._ I I CLAIMS-MADE ~ UCGUR ~ ~ PREMISES iEa occurrenc~_,~ $ ~ ~ I ~ MED EXP (Any one person) $ I I i ~ PERSONAL & ADV INJURY $ 1____.~ _ I~ GEN'L AGGREGATE LIMIT APPLIES PER ~ ~ ~ GENERAL AGGREGATE $ POLICY ~ PRODUCTS -COMP/OP AGG $ _ ~ JECT ~ v...__._._.._____ PRO- __~_i LOC I, i I $ BOTHER: ~ ~ AUTOMOBILE LIABILITY ~ COMBINED SINGLE LIMIT , $ ~accident~~~_~ { ANY AUTO ~ ! ~ BODILY INJURY (Per person} ~ $ ! i ~ BODILY INJURY Per accident ~ $ ALL OWNED I SCHEDULED ! ~ E AUTOS AUTOS ~ I I ~ PROPERTY DAMAGE ~ NON-OWNED I ~ ~ ~ Pet accident ~ $ HIRED AUTOS AUTOS j ~ L._ f I ; i i I ~ I ! j EACH OCCURRENCE ~ $ UMBRELLA LlAB ~ i OCCUR I I I a i EXCESS LIAR ~ CLAIMS-MADE 1 I J AGGREGATEw ~~_._..____._..j._~ I DED RETENTION $ I ~ ' PER 0TH ; WORKERS COMPENSATION i ~ STATUTE ER _ ~,~..._L~. _ _ _ AND EMPLOYERS' LIABILITY Y 1 N , { E.L. EACH ACCIDENT ~ 5 500 000 ANY PROPRIETORIPAR7NERlEXECUTIVE I N / A ! ~ I iOFFICERIMEMBER EXGLUDED7 ~ ~ 4/1/2017 4/1/201fl ~ E.L. DISEASE - EA EMPLOYES $ 500 000 A i(Mandatory In NHj ~ 929406 I , _ ~ (E.L. DISEASE -POLICY LIMIT . ~ I[ yes, describe under ~I S 500 000 !DESCRIPTION OF OPERATIONS below I B ~Professiorial hiability ANE155524016 1011/2016 ~ 10/1/2017 $1,000,000 1 i i I DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 10i, Additional Remarks Schedule, may be attached if mare space is required) *Except 20 days native in event cancellation for non payment of premium CERTIFICATE HOLDER CANCELLATION jacka@nwcodepros.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Community Develope~nent Department 51 Winburn Way Ashlandr OR ~~520 AUTHORIZED REPRESENTATIVE ~ r ®1988-2414 ACORD CORPORATION. All rights reserved. ACORD 25 (20141n1 ~ The ACORD name and logo are registered marks of ACORD INS025 (2o~ao~} T ~ ~ DATE (MMIDDIYYYY) A►C't.~1~Z1~ CkRTIFI~AT~ QF LIABILITY IN~URAI'VCE ~r2sr2o17 TMiS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO R{GHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the palicY4iesj must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement{sj, PROnucER ~o~~ACT zxProducer COM r__,..._._w____ Pacific Benefit Consultants PwoNE {541) 484-6524 ~A~ic No c~ai) ~~~-z72~ AI IVo., Ex~,:.~...~.~~_.~,~4..~~~~_.-..._.w. ~ 4.x_1 ~ 1 ~ . 450 Country Club Road #330 ~-MAIL _~~u>~~ss:_~__...._. _._._..___._...__........_.~,._..ENSURER(Sj AFFORAING COVERAGE__..___.._._..__.__.____.._._._ NAIC Eugene OR 97401 INSURERA;Mutual of Enumclaw Insurance ].4767. _._..___.e._._.__._._._.._~__..___.._____.,..___._.___.._.,__..~._... _...__.____.._,.._m____ r INSURED INSURER B : MORTIER ENGINEERING P E P C INSURER c : _ . _ _ . _ . 144E 14TH AVE INSURER D: INSURER E : EUGENE OR 974x1 4NSURER F COVERAGES CERTIFICATE NUMBER:CL1732820745 REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTIMTHTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ _ __..._~AppL UBR` PCJI..iCY EFF POLICY EXP INSR TypE OF INSURANCE POLECY NUMBER MMiDDtYYYY MMIDDfl Y~~~-.-.-_v~~..T~Y-~ LIMITS LTR I CQMMERCiAL GENERAL LIABILITY ~ ~ I I EACH OGCURRENCE ~ I ~ f DAMAGE T~ RENTED I CLAIMS-MADE ~ OCCUR j ~ ~ ; ~ PREMISES Ea occurrenee)_._.. ~___.__.._.,..._.__.,._____.w_....... I 1 i ~ j MED EXP (Any one person) ~ _ h y ~ PERSONAL & ADV INJURY ! 5 I _..__J ~ i I ~ __...._.._f---__ jy GENERAL AGGREGATE ~ S GEN'L AGGREGATE LIMIT APPLIES PER: I j ~ POLICY JECT ~ LOG ~ I ~ ~ I ; P~ RODUCTS - COMPIOP AGG j $ ~ ~ ~ ( j ~ pTHER GOMBINED SINGLE LIMIT ~ 1 OOO 000 AUTOMOBILE LIABiUTY Ea accident ' ' ry ~ ~ ~ I_.!_._.____. _ 1 ! ~ BODILY INJURY (Per person) $ ANY A11T0 ~ ~ _ _ _ I r L OWNED SCHEDULED ~ AL ~ ~ ~ ~ t3APOQ44484 Si7/201b I 5/7/20I7 BODILY INJURY {Per accident) ~ $ I AUTOS AUTOS a _ _ _._._.i i ~ L PROPERI"Y DAMAGE NON-OWNEd i I { S I ~ HIRED AUTOS AUTOS t I_ Per accidentk I"~~? ( ! I ! Uninsured motorist combined i S 1, 000, 000 j UMBRELLA LIAB OCCUR ;EACH OCCURRENCE ~ $ _f ~ , 1 EXCESS LIAB ~ ~ I CLAIMS-MADE ~ i ~ ~ ~ AGGREGATE S I.____r~ ...._.__i ~ i i DED ~ 1 RETENTION $ r PER OThI- WORKERS CpMPENSATIQN ~ AND EMPLOYERS' LIABILITY Y / N ~ I t ~ ;ANY PR(7PR(ETORIPARTNER/EXECUTIVE ~ ( i ESL. EACH ACCIDENT N / A _.W_...__._._...._ !t?~FICERtMEMBER EXCLUDED? !(Mandatory in NMI ~ I E.L. D SEASE - EA EMPLOYES ffi If yes. describe under l I E.L. DISEASE -POLICY LIMIT ;DESCRIPTION OE OPERATIONS below I I i i ~ i I 'i i ~ ~ DESCRIPTION OFOPERATIONS /LOCATIONS /VEHICLES {AGORD 101, Additional Remarks Schedule, may be attached If mare space is required) Monier Engineering is the Parent Company for The Building Department. All vehicles are insured under Monier Engineering. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Gi.ty of Ashland THE ExPiRATiON DATE THEREOF, NOTICE WILL BE DELIVERED IN Community Develc~pem~nt nepartment ACCORDANCE WITH THE PC3UCY PROVISIONS. 51 Winburn 'day Ashland, OR 9'7520 AuTwnRIZED REPRESENTATIVE 1988.2014 ACORD CORPORATION. Ali rights reserved. ACORD 25 ~20141a1) The ACORD name and logo are registered marks of ACORD IN5025 (201x1(71) rs rder Fiscal Year 2017 Page: 1 of: 1 - - _ = - = IlM~H?~- B City of Ashland ~ ATTN: Accounts Payable Purchase L 20 E. Main 6~~ Ashland, OR 97520 ,Order # T Phone: 5411552-2010 p Email: payable@ashland:or.us V H CIO Planning Division E BUILDING DEPARTMENT, LLC 151 Winburn Way D 144E 14TH AVENUE - P Ashland, OR 97520 O EUGENE, OR 97401 T Fa~n541552 205005 R O _~/_errdawehon~l~um~e~ ~~~~~~i~--~-~°u~n~-- _ - - - ~m - - _ A ril Lucas 0410512017 ~ 3159 ~ Cit Accounts Pa able Building Official Services 1 Building inspection, plan review and building official services. 1 $35,000.0000 $35,000.00 Contract for Personal Services less than $35,000 Beginning date: 04/03/2017 ' Completion date: 0410312018 Project Account: GL SUMMARY 092800 - 604100 $35,000.00 r a y ~ ~ By: ° ~f~ ; ~ ~ ~ Date: ~ ~ Authorized Signature s ~ - _ - $35 000.00 J r ~ fi ;5~ ,,.r'i~ ~ ~ ITY F 4.~ s e R I ' ' ~ Date of request: 3/28/17 ~ Fred date for delivery; 4/3117 Vendor Name Northwest Code Professionals Address, City, State, Zip 144 East 14th Ave, Eugene, OR 97401 Contact Name ~ Telephone Number Jack Applegate, #541-484-9043 Fax Number S®URCING METH®D ❑ Exempt from Gom~etitive Bidding ❑ Emer enc ❑ Reason for exemption; ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization ❑ AMC 2.50 Date approved by Council; ❑ Written quote or proposal attached ❑ Written note or ro osal attached _ Attach co of council communication _ If council a royal re uired, attach co of CC ❑ Small Procurement Cooperative Procurement Less than $5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon ❑ Direct Award Date approved by Council; Contract # ❑ VerballWritten quote(s) or proposal(s) -(Attach copy of council communication) ❑ State of Washington Intermediate Procurement ❑ Sole Source Contract # GOODS & SERVICES ❑ Applicable Form (#5,6, 7 or 8) ❑ Other government agency contract $5,000 to $100,000 ❑ Written quote or proposal attached Agency ❑ (3) Written quotes and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract # PERSONAL SERVICES ❑ Special Procurement Intergovernmental Agreement 5 0 0 to 75 000 ❑ Form #9, Request for Approval ❑ Agency Less than $35,000, by direct appointment ❑ Written quote or proposal attached Date original contract approved by Council; (Date) ❑ (3) Written proposalslwritten solicitation Date approved by Council: _ (Attach copy of council communication) ❑ Form #4, Personal Services $5K to $75K Valid until; Date Description of SERVICES Total Cost Building Inspection, Plan Review, and Building Official services, NOT TO EXCEED $35,000.00 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ❑ Per attached quotelproposal Account Number 110.09.28.00.604100 *Expenditure must be charged fo the appropriate accounf numbers for the financials fo accurately reflect the actual expenditures, IT Director in collaboration with department to approve all hardware and soffware purc~aase . T cto Date Support -Yes /No By signing this requisition form, l certify that the City's public contracting requirements have been satisfied, ~ Employee: 4 a~ ~ Department Head: '~'ual to o greater than $5,000) De artment Mana erlSu ervisor: Cit Administra ~or: ~ ~ q s p g p Y ~ (Equal to oTgreatert an $25,000) Funds appropriated for current fiscal year. YE / NO ~ ~ f~ ~ ~ 1 " r°~ Finan ~ e Director- (Equal fo or greater than $5,000) Date Commenfs: Form #3 -Requisition